3225 CEDAR ST 2024-12-06 - Laserfiche WebLink

PUBLIC WORKS PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EV E R E T T SUBMITTAL INSTRUCTIONS:Email application&submittal documents to PermitServices@everettwa.gov or drop off at 3200 Cedar Street 2nd Floor Drop Box WASHINGTON CONTACT INFORMATION:(P)425-257-8810 i(E)PermitServices@everettwa.gov i(W)everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:3225 Cedar St SITE WORK FOR PROJECT TYPE: ❑SFR-DETACHED ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY @COMMERCIAL ❑INDUSTRIAL IF APPLICABLE: ❑ LAND USE PROJECT#(SEPA, PRE-APP, SS, ETC.)Electrical permit E2301-015 IF APPLICABLE: ❑FRANCHISE/UTILITY COMPANY,ANNUAL BLANKET PERMIT# UTILITY COMPANY'S NAME&JOB M JOB M DESCRIPTION OF SITE WORK / RIGHT-OF-WAY WORK FILL IN ALL QUANTITIES OF WORK BELOW,AS APPLICABLE: DRAINAGE MITIGATION QUESTIONS: ❑ FENCE IN ROW FT IN HEIGHT STORMWATER DISCHARGES TO: ❑ DRIVEWAY APRON/CURB CUT FT WIDE ❑ Combined Sewer ❑ASPHALT/CONCRETE PAVING SF ❑ Separated Storm Sewer ❑ RETAINING WALL/ROCKERY IN RIGHT-OF-WAY LF ❑ Direct Discharge to Snohomish River or Puget Sound ❑ RETAINING WALL/ROCKERY OVER 4FT IN HEIGHT FT TOTAL HEIGHT TRIGGERED REQUIREMENTS: ❑ CLEARING/GRADING/FILL/EXCAVATE CY ❑ MR2 Only ❑ MR1-5 ❑ MR1-9 @ CUT/BORE IN PAVEMENT(PARALLEL) 12 LF QUANTITY OF PROPOSED HARD SURFACES: ❑ CUT/BORE IN PAVEMENT(NON-PARALLEL) LF Proposed Roof Area: SF ❑ POLE WORK/AERIAL/OVERLASH LF Proposed Hardscape:3 SF ADDITIONAL DESCRIPTION (AS NEEDED): ITotal New+Replaced: SF Cut and patch concrete walkway for conduit trench CONTACT INFORMATION OWNER/APPLICANT NAME:Puget Sound Solar LLC OWNER/APP. MAILING ADDRESS: STRFFT 805 Rainier Ave S ,T,, Seattle STATE WA ZIP 98144 OWNER/APP. PHONE:206 706 1931 OWNER/APP. EMAIL:leremy@pugetsoundsolar.com `Required for Work in Public Right-of-Way CONTRACTOR NAME: Puget Sound Solar LLC CONTRACTOR ADDRESS: STRFFT 805 Rainier Ave S CITY Seattle STATE WA zip 98144 CONTRACTOR PHONE: 206 706 1931 CONTRACTOR EMAIL: info@pugetsoundsolar.com CONTRACTOR LICENSE#(REQUIRED): PUGETSS932MU EVERETT BUSINESS LICENSE#(REQUIRED):49544 PRIMARY CONTACT: ❑ OWNER /APPLICANT @ CONTRACTOR ❑ OTHER(Architect, Engineer, Etc.) CONTACT NAME: CONTACT PHONE:206 669 7337 Jeremy Smithson I CONTACT EMAIL:jeremy@pugetsoundsolar.com ACKNOWLEDGEMENT I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with current federal,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made,and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 1/9/2023 PERMIT# Owner orized Ag t Signature Date (Revised 412112022)